基于行为转变理论模式下综合护理联合温针灸干预对中风患者认知功能的影响
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R743.3

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Effect of Intervention of Comprehensive Nursing Combined with Warming-Needle Moxibustion on Cognitive Function of Patients with Stroke Based on the Transthe⁃ oretical Model
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    摘要:

    目的:观察基于行为转变理论模式下综合护理联合温针灸干预对中风患者认知功能的影响。方 法:选择中风患者240 例为研究对象,依据随机数字表法分为对照组与研究组各120 例。对照组给予康复治疗 及常规护理,研究组在对照组基础上给予基于行为转变理论模式下综合护理及温针灸进行干预。治疗6 个月 后,比较2 组遵医行为、并发症发生率,以及干预前后临床记忆量表记忆商(MQ)、简短精神状态量 表(MMSE) 及生活质量评分。结果:治疗后,研究组遵医行为量表中饮食、服药、情绪管理、运动评分均明 显高于对照组(P<0.05)。治疗后,2 组MQ、MMSE 评分均较治疗前升高(P<0.05),且研究组MQ、MMSE 评分均高于对照组(P<0.05)。研究组偏瘫、误吸、跌倒、非计划性拔管发生率分别为0、3.33%、4.17%、 5.83%,对照组分别为10.00%、15.83%、20.83%、20.83%,2 组比较,差异均有统计学意义(P<0.05)。治疗 后,2 组生活质量量表中躯体角色、社会、情绪角色评分均较治疗前升高(P<0.05),且研究组上述各项评分 均高于对照组(P<0.05)。结论:基于行为转变理论模式下综合护理联合温针灸治疗中风,可显著改善患者的 认知功能和治疗依从性,提高生活质量,明显降低并发症发生率。

    Abstract:

    Abstract: Objective: To observe the effect of therapy of comprehensive nursing combined with intervention of warming- needle moxibustion on cognitive function of patients with stroke based on the transtheoretical model. Methods:A total of 240 patients with stroke were selected as the study subjects and divided into the control group and the study group according to the random number table method,with 120 cases in each group. The control group was given rehabilitation therapy and routine nursing,and the study group was additionally treated with intervention of comprehensive nursing combined with warmingneedle moxibustion based on the transtheoretical model and the treatment of the control group. After 6 weeks of treatment, the compliance behavior, incidence of complications, and scores of Memory Quotient (MQ), Mini- Mental State Examination (MMSE) and quality of life were compared between the two groups before and after intervention. Results: After treatment, the scores of diet, administratio of medicines,emotional management and exercises in the compliance behavior scale in the study group were significantly higher than those in the control group (P<0.05). After treatment,the scores of MQ and MMSE in both groups were significantly increased when compared with those before treatment, and the above two scores in the study group were higher than those in the control group (P<0.05). The incidence of hemiplegia,aspiration,fall and unplanned extubation was 0,3.33%,4.17% and 5.83%,respectively in the study group and 10.00% , 15.83% , 20.83% and 20.83% , respectively in the control group, differences being significant (P<0.05). After treatment, the scores of role- physical, social function and role- emotional in the quality of life scale in the two groups were increased when compared with those before treatment (P<0.05),and the above three scores in the study group were higher than those in the control group (P<0.05). Conclusion:Based on the transtheoretical model,the therapy of comprehensive nursing combined with intervention of warming-needle moxibustion for stroke can significantly improve the cognitive function and therapy adherence of patients, enhance the quality of life and highly reduce the incidence of complications.

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虞美华,朱苏生.基于行为转变理论模式下综合护理联合温针灸干预对中风患者认知功能的影响[J].新中医,2024,56(2):151-155

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  • 在线发布日期: 2024-01-25
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